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PW17-127 - Original - Tierra Right of Way Services - S 228th St UPRR Grade Separation - Aquisition Services
// rf111 i��i�/�% Records Mf ' ✓/' /i r,. o,;, , �,�,�rr l l f�l► rNT ili/%i / /r //r/ir �i� DQ' LlfT7I 5'N A.5 FI C N t1 T p f4 � /rJrrr I CONTRACT COVER SHEET This is to be completed by the Contract Manager prior to submission to City Clerks Office. All portions are to be completed. If you have questions, please contact City Clerk's Office. Vendor Name: Tierra Right of Way Services, Ltd, Vendor Number: JD Edwards Number Contract Number: 1-1 - 1' This is assigned by City Clerk's Office Project Name: S. 228th St. UPRR Grade Separation Description: ❑ Interlocal Agreement ❑ Change Order 0 Amendment ® Contract ICi ether: Contract Effective Date: 3/8/17 Termination date: 12/31/17 Contract Renewal Notice (Gays): Number of days required notice for termination or renewal or amendment Contract Manager: Mark Madfai Department: Engineering Contract Amount: 14,054.00 Approval Authority: (CIRCLE ONE) Department Director Mayor City Councill Detail:: (i.e. address, location, parcel number, tax id, etc.): Provide right of way acquisition services for the project..,.... As of: 08/27/14 KENT W.5HI.GTO.. CONSULTANT SERVICES AGREEMENT between the City of Kent and Tierra Right of Way Services, Ltd. THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and Tierra Right of Way Services, Ltd. organized under the laws of the State of Arizona, located and doing business at 1575 East River Road, Suite 201, Tucson, AZ 85718, Phone: (520) 319-2106, Contact: Mack Dickerson (hereinafter the "Consultant"). I. DESCRIPTION OF WORK. Consultant shall perform the following services for the City in accordance with the following described plans and/or specifications: The Consultant shall provide right of way acquisition services for the S. 228" St. UPRR Grade Separation Project. For a description, see the Consultant's Scope of Work which is attached as Exhibit A and incorporated by this reference. Consultant further represents that the services furnished under this Agreement will be performed in accordance with generally accepted professional practices within the Puget Sound region in effect at the time those services are performed. II. TIME OF COMPLETION. The parties agree that work will begin on the tasks described in Section I above immediately upon the effective date of this Agreement. Consultant shall complete the work described in Section I by December 31, 2017. III. COMPENSATION. A. The City shall pay the Consultant, based on time and materials, an amount not to exceed Four Thousand, Fifty Four Dollars ($4,054.00), for the services described in this Agreement. This is the maximum amount to be paid under this Agreement for the work described in Section I above, and shall not be exceeded without the prior written authorization of the City in the form of a negotiated and executed amendment to this agreement. The Consultant agrees that the hourly or flat rate charged by it for its services contracted for herein shall remain locked at the negotiated rate(s) for a period of one (1) year from the effective date of this Agreement. The Consultant's billing rates shall be as delineated in Exhibit A. B. The Consultant shall submit monthly payment invoices to the City for work performed, and a final bill upon completion of all services described in this Agreement. The City shall provide payment within forty-five (45) days of receipt of an invoice. If the City objects to all or any portion of an invoice, it shall notify the Consultant and reserves the option to only pay that portion of the invoice not in dispute. In that event, the parties will immediately make every effort to settle the disputed portion. IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent Contractor- Employer Relationship will be created by this Agreement. By their execution of this Agreement, and in accordance with Ch. 51.08 RCW, the parties make the following representations: CONSULTANT SERVICES AGREEMENT - 1 ($20,000 or Less) A. The Consultant has the ability to control and direct the performance and details of its work, the City being interested only in the results obtained under this Agreement. B. The Consultant maintains and pays for its own place of business from which Consultant's services under this Agreement will be performed. C. The Consultant has an established and independent business that is eligible for a business deduction for federal income tax purposes that existed before the City retained Consultant's services, or the Consultant is engaged in an independently established trade, occupation, profession, or business of the same nature as that involved under this Agreement. D. The Consultant is responsible for filing as they become due all necessary tax documents with appropriate federal and state agencies, including the Internal Revenue Service and the state Department of Revenue. E. The Consultant has registered its business and established an account with the state Department of Revenue and other state agencies as may be required by Consultant's business, and has obtained a Unified Business Identifier (UBI) number from the State of Washington. F. The Consultant maintains a set of books dedicated to the expenses and earnings of its business. V. TERMINATION. Either party may terminate this Agreement, with or without cause, upon providing the other party thirty (30) days written notice at its address set forth on the signature block of this Agreement. After termination, the City may take possession of all records and data within the Consultant's possession pertaining to this project, which may be used by the City without restriction. If the City's use of Consultant's records or data is not related to this project, it shall be without liability or legal exposure to the Consultant. VI. DISCRIMINATION. In the hiring of employees for the performance of work under this Agreement or any subcontract, the Consultant, its subcontractors, or any person acting on behalf of the Consultant or subcontractor shall not, by reason of race, religion, color, sex, age, sexual orientation, national origin, or the presence of any sensory, mental, or physical disability, discriminate against any person who is qualified and available to perform the work to which the employment relates. Consultant shall execute the attached City of Kent Equal Employment Opportunity Policy Declaration, Comply with City Administrative Policy 1.2, and upon completion of the contract work, file the attached Compliance Statement. VII. INDEMNIFICATION. Consultant shall defend, indemnify and hold the City, its officers, officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or suits, including all legal costs and attorney fees, arising out of or in connection with the Consultant's performance of this Agreement, except for that portion of the injuries and damages caused by the City's negligence. The City's inspection or acceptance of any of Consultant's work when completed shall not be grounds to avoid any of these covenants of indemnification. Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Consultant and the City, its officers, officials, employees, agents and volunteers, the Consultant's liability hereunder shall be only to the extent of the Consultant's negligence. IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION PROVIDED HEREIN CONSTITUTES THE CONSULTANT'S WAIVER OF IMMUNITY UNDER INDUSTRIAL CONSULTANT SERVICES AGREEMENT - 2 ($20,000 or Less) INSURANCE, TITLE 51 RCW, SOLELY FOR THE PURPOSES OF THIS INDEMNIFICATION. THE PARTIES FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER. In the event Consultant refuses tender of defense in any suit or any claim, if that tender was made pursuant to this indemnification clause, and if that refusal is subsequently determined by a court having jurisdiction (or other agreed tribunal) to have been a wrongful refusal on the Consultant's part, then Consultant shall pay all the City's costs for defense, including all reasonable expert witness fees and reasonable attorneys' fees, plus the City's legal costs and fees incurred because there was a wrongful refusal on the Consultant's part. The provisions of this section shall survive the expiration or termination of this Agreement. VIII. INSURANCE. The Consultant shall procure and maintain for the duration of the Agreement, insurance of the types and in the amounts described in Exhibit B attached and incorporated by this reference. IX. EXCHANGE OF INFORMATION. The City will provide its best efforts to provide reasonable accuracy of any information supplied by it to Consultant for the purpose of completion of the work under this Agreement. X. OWNERSHIP AND USE OF RECORDS AND DOCUMENTS. Original documents, drawings, designs, reports, or any other records developed or created under this Agreement shall belong to and become the property of the City. All records submitted by the City to the Consultant will be safeguarded by the Consultant. Consultant shall make such data, documents, and files available to the City upon the City's request. The Consultant acknowledges that the City is a public agency subject to the Public Records Act codified in Chapter 42.56 of the Revised Code of Washington. As such, the Consultant agrees to cooperate fully with the City in satisfying the City's duties and obligations under the Public Records Act. The City's use or reuse of any of the documents, data, and files created by Consultant for this project by anyone other than Consultant on any other project shall be without liability or legal exposure to Consultant. XI. CITY'S RIGHT OF INSPECTION. Even though Consultant is an independent contractor with the authority to control and direct the performance and details of the work authorized under this Agreement, the work must meet the approval of the City and shall be subject to the City's general right of inspection to secure satisfactory completion. XII. WORK PERFORMED AT CONSULTANT'S RISK. Consultant shall take all necessary precautions and shall be responsible for the safety of its employees, agents, and subcontractors in the performance of the contract work and shall utilize all protection necessary for that purpose. All work shall be done at Consultant's own risk, and Consultant shall be responsible for any loss of or damage to materials, tools, or other articles used or held for use in connection with the work. XIII. MISCELLANEOUS PROVISIONS. A. Recyclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the City requires its contractors and consultants to use recycled and recyclable products whenever practicable. A price preference may be available for any designated recycled product. B. Non-Waiver of Breach. The failure of the City to insist upon strict performance of any of the covenants and agreements contained in this Agreement, or to exercise any option conferred by this Agreement in one or more instances shall not be construed to be a waiver or relinquishment of those covenants, agreements or options, and the same shall be and remain in full force and effect. C. Resolution of Disputes and Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the State of Washington. If the parties are unable to settle any dispute, difference or claim arising from the parties' performance of this Agreement, the exclusive means of resolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in CONSULTANT SERVICES AGREEMENT - 3 ($20,000 or Less) writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the parties' performance of this Agreement, each party shall pay all its legal costs and attorney's fees incurred in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or award provided by law; provided, however, nothing in this paragraph shall be construed to limit the City's right to indemnification under Section VII of this Agreement. D. Written Notice. All communications regarding this Agreement shall be sent to the parties at the addresses listed on the signature page of the Agreement, unless notified to the contrary. Any written notice hereunder shall become effective three (3) business days after the date of mailing by registered or certified mail, and shall be deemed sufficiently given if sent to the addressee at the address stated in this Agreement or such other address as may be hereafter specified in writing. E. Assignment. Any assignment of this Agreement by either party without the written consent of the non-assigning party shall be void. If the non-assigning party gives its consent to any assignment, the terms of this Agreement shall continue in full force and effect and no further assignment shall be made without additional written consent. F. Modification. No waiver, alteration, or modification of any of the provisions of this Agreement shall be binding unless in writing and signed by a duly authorized representative of the City and Consultant. G. Entire Agreement. The written provisions and terms of this Agreement, together with any Exhibits attached hereto, shall supersede all prior verbal statements of any officer or other representative of the City, and such statements shall not be effective or be construed as entering into or forming a part of or altering in any manner this Agreement. All of the above documents are hereby made a part of this Agreement. However, should any language in any of the Exhibits to this Agreement conflict with any language contained in this Agreement, the terms of this Agreement shall prevail. H. Compliance with Laws. The Consultant agrees to comply with all federal, state, and municipal laws, rules, and regulations that are now effective or in the future become applicable to Consultant's business, equipment, and personnel engaged in operations covered by this Agreement or accruing out of the performance of those operations. I. Public Records Act. The Consultant acknowledges that the City is a public agency subject to the Public Records Act codified in Chapter 42.56 of the Revised Code of Washington and documents, notes, emails, and other records prepared or gathered by the Consultant in its performance of this Agreement may be subject to public review and disclosure, even if those records are not produced to or possessed by the City of Kent. As such, the Consultant agrees to cooperate fully with the City in satisfying the City's duties and obligations under the Public Records Act. J. City Business License Required. Prior to commencing the tasks described in Section I, Contractor agrees to provide proof of a current city of Kent business license pursuant to Chapter 5.01 of the Kent City Code. CONSULTANT SERVICES AGREEMENT - 4 ($20,000 or Less) K. Counterparts...and Si natures by Fax or Email, This Agreement may be executed in; any number of counterparts, each of which shall constitute an original, and all of which will together constitute this one Agreement, Further, upon executing this Agreement, either party may deliver the signature page to the other by fax or email and that signature shall have the same force and effect as if the Agreement bearing the original signature was received in person. IN WITNESS, the parties below execute this Agreement, which shall become effective on the last date entered below. All acts consistent with the authority of this Agreement and prior to its effective date are ratified and affirmed, and the terms of the Agreement shall be deemed to have applied. CONSULTANT: CITY7 KENT: By By: ,,,,r1ure (signature,? Print Name: /110 L- r<17 A Print Name: Carla Maloney,�alone P.E. Its: Its: Design Engineering Manager D (title) ATE: DATE: NOTICES TO BE SENT TO: NOTICES TO, BE SENT TO: CONSULTANT: CITY OF DENT: Mack Dickerson Timothy J. LaPorte, P.E. Tierra Right of Way Services, Ltd. City of Kent 1575 East River Road, Suite 201 220 Fourth Avenue South Tucson, AZ 85718 Kent, WA 98032 (520) 319-2106 (telephone) (253) 856-5500 (telephone) (520) 323-3326 (facsimile) (253) 856-Fran facsimile Right of Way-228 UPRR 2/Ma1fai CONSULTANT SERVICES AGREEMENT 5 ($20,000 or Less) D EC LA RATI O N CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY The City of Kent is committed to conform to Federal and State laws regarding equal opportunity. As such all contractors, subcontractors and suppliers who perform work with relation to this Agreement shall comply with the regulations of the City's equal employment opportunity policies. The following questions specifically identify the requirements the City deems necessary for any contractor, subcontractor or supplier on this specific Agreement to adhere to. An affirmative response is required on all of the following questions for this Agreement to be valid and binding. If any contractor, subcontractor or supplier willfully misrepresents themselves with regard to the directives outlines, it will be considered a breach of contract and it will be at the City's sole determination regarding suspension or termination for all or part of the Agreement; The questions are as follows: 1. I have read the attached City of Kent administrative policy number 1.2. 2. During the time of this Agreement I will not discriminate in employment on the basis of sex, race, color, national origin, age, or the presence of all sensory, mental or physical disability. 3. During the time of this Agreement the prime contractor will provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 4. During the time of the Agreement I, the prime contractor, will actively consider hiring and promotion of women and minorities. 5. Before acceptance of this Agreement, an adherence statement will be signed by me, the Prime Contractor, that the Prime Contractor complied with the requirements as set forth above. By signing below, I agree to fulfill the five requirements referenced above. By. / For: W 1A 0 Title: lLc. 21, s Date: uzj 7 EEO COMPLIANCE DOCUMENTS - 1 CITY OF KENT ADMINISTRATIVE POLICY NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998 SUBJECT: MINORITY AND WOMEN SUPERSEDES: April 1, 1996 CONTRACTORS APPROVED BY Jim White, Mayor POLICY: Equal employment opportunity requirements for the City of Kent will conform to federal and state laws. All contractors, subcontractors, consultants and suppliers of the City must guarantee equal employment opportunity within their organization and, if holding Agreements with the City amounting to $10,000 or more within any given year, must take the following affirmative steps: 1. Provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 2. Actively consider for promotion and advancement available minorities and women. Any contractor, subcontractor, consultant or supplier who willfully disregards the City's nondiscrimination and equal opportunity requirements shall be considered in breach of contract and subject to suspension or termination for all or part of the Agreement. Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public Works Departments to assume the following duties for their respective departments. 1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to these regulations are familiar with the regulations and the City's equal employment opportunity policy. 2. Monitoring to assure adherence to federal, state and local laws, policies and guidelines. EEO COMPLIANCE DOCUMENTS - 2 CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the Agreement. I, the undersigned, a duly represented agent of Company, hereby acknowledge and declare that the before-mentioned company was the prime contractor for the Agreement known as that was entered into on the (date) between the firm I represent and the City of Kent. I declare that I complied fully with all of the requirements and obligations as outlined in the City of Kent Administrative Policy 1.2 and the Declaration City of Kent Equal Employment Opportunity Policy that was part of the before-mentioned Agreement. By: For: Title: Date: EEO COMPLIANCE DOCUMENTS - 3 EXHIBIT A A LAND SERVICES COMPANY February 3,2017 Mark Madfai, Design Engineering Supervisor City of Kent,Public Works Department 220 Fourth Avenue South Kent,WA 98032 Re: City of Kent, Storm Drain Project Right of Way Acquisition Services Dear Mr.Madfai, Thank you for the opportunity to provide acquisition services for the above mentioned project. Attached is our scope of work and our estimate of costs related to completing the acquisition of property rights for the above-referenced project. Tierra Right of Way Services, Ltd. (Tierra), win comply with Washington State Department of Transportation (WSDO'f) guidelines, including Local Agency Guidelines (LAGS), and Washington state law, specifically as stated in Chapter 8,26 of the Revised Code of Washington (RCW). We look forward to continuing our working relationship with the City of Kent to complete this project. Sincerely, (3AV-0-&C_4-_A_J Leslie Beaird, SR/WA, R/W-RAC Manager of Right of Way Operations Pacific Northwest 3,60-870-0190 cc: Mack Dickerson, VP Right of Way Operations Randye K. Ferrick, President & Broker 444 NE Ravenna Boulevard, Suite 103 a Seattle, Washington 981 IS 0 Phone: 206.363.I556 Fax: 206.363.0106 Right of Way * C u lcural Resources * Environmental Planning Federal, State, and Local Permitting * CIS/CAD Mapping Toll Free: 800.687.0847 0 www.tierra-row,corn SCOPE OF WORK The City of Kent has requested that Tierra provide a lump sum cost proposal to acquire the real estate interests identified in Table 1. All acquisition services shall be provided in accordance with Federal, State, and local laws,including the Uniform Act,WSDOT LAGS, and Chapter 8.26 RCW. Our cost proposal includes,but is not limited to,the following tasks: • Attend Project meetings. • Perform and oversee property negotiations. • Review maps,drawings and appraisals to prepare for negotiations. • Maintain a Negotiator's Log for each parcel. • Prepare offer letters, notices, and other related acquisition documents using WSDOT-approved and City approved fortes. • Project management and coordination with the City staff for oversight. • Maintain a physical hardcopy file for each parcel. City of Kent, as needed, will provide Tierra with the following prior to the commencement of any negotiation activities: • Tide Reports • Administrative Offer Summer for each real estate interest indicated in Table 1. • Legal descriptions and parcel map exhibits for each real estate interest identified in Table 1. COST We have reviewed the provided Administrative Offer Summaries. From those documents we have produced our estimate of acquisition services costs for two temporary construction easements. Our cost proposal for the requested services under this project is provided in the table below. This estimate is inclusive of all time, mileage, and materials needed for the completion of these services. With this proposal,all phases of this project have been addressed for cost. Table 1.Properties to be acquired for Project Name Property Interest Cost: IP Eat Five e cler TCE $2,027.00 HRP Properties Qohn TCE $2,027.00 Pietromonco TOTALS: 1 $4,054.00 *TCE is Temporary Construction Easement Above cost proposal is provided as lump sum. This means that you will only be invoiced as we progress through milestones accomplished in relation to this project. Consideration has been given within these figures to all anticipated and foreseeable costs,including project management and agent hours related to facilitation activity, travel time and expenses to the project region as needed and associated mileage, time for file maintenance and reporting requirements, and any other anticipated project expenses. In the event more hours are required to complete this project and amendment City of Kent,Storm Drain Replacement Project Right of Way Acquisition Services would be required. Tierra would provide the necessary documentation to support an amendment to the scope and budget. PROGRESS PAYMENTS • 30%of the per-parcel price shown in Table 1 upon initiation of negotiations. • 40% of the per-parcel price shown in Table 1 when negotiations are completed and an escrow is opened (if one is needed) or acquisition is approved by the City of Kent for condemnation. • 30% of the per parcel price shown in Table 1 when the completed acquisition file is turned in to the City of Kent as a successful acquisition or for condemnation action. City of Kent,Storm Drain Replacement Project Right of Way Acquisition Services EXHIBIT B INSURANCE REQUIREMENTS FOR CONSULTANT SERVICES AGREEMENTS Insurance The Consultant shall procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by the Consultant, their agents, representatives, employees or subcontractors. A. Minimum Scope of Insurance Consultant shall obtain insurance of the types described below: 1. Automobile Liability insurance covering all owned, non-owned, hired and leased vehicles. Coverage shall be written on Insurance Services Office (ISO) form CA 00 01 or a substitute form providing equivalent liability coverage. If necessary, the policy shall be endorsed to provide contractual liability coverage. 2. Commercial General Liability insurance shall be written on ISO occurrence form CG 00 01 and shall cover liability arising from premises, operations, independent contractors, products-completed operations, personal injury and advertising injury, and liability assumed under an insured contract. The City shall be named as an insured under the Consultant's Commercial General Liability insurance policy with respect to the work performed for the City using ISO additional insured endorsement CG 20 10 11 85 or a substitute endorsement providing equivalent coverage. 3. Workers' Compensation coverage as required by the Industrial Insurance laws of the State of Washington. 4. Professional Liability insurance appropriate to the Consultant's profession. B. Minimum Amounts of Insurance Consultant shall maintain the following insurance limits: 1. Automobile Liability insurance with a minimum combined single limit for bodily injury and property damage of $1,000,000 per accident. 2. Commercial General Liability insurance shall be written with limits no less than $2,000,000 each occurrence, $2,000,000 general aggregate and a $1,000,000 products-completed operations aggregate limit. EXHIBIT B (Continued) 3. Professional Liability insurance shall be written with limits no less than $2,000,000 per claim and $2,000,000 policy aggregate limit. C. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions for Automobile Liability and Commercial General Liability insurance: 1. The Consultant's insurance coverage shall be primary insurance as respect the City. Any Insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess of the Consultant's insurance and shall not contribute with it. 2. The Consultant's insurance shall be endorsed to state that coverage shall not be cancelled by either party, except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to the City. 3. The City of Kent shall be named as an additional insured on all policies (except Professional Liability) as respects work performed by or on behalf of the Consultant and a copy of the endorsement naming the City as additional insured shall be attached to the Certificate of Insurance. The City reserves the right to receive a certified copy of all required insurance policies. The Consultant's Commercial General Liability insurance shall also contain a clause stating that coverage shall apply separately to each insured against whom claim is made or suit is brought, except with respects to the limits of the insurer's liability. D. Acceptability of Insurers Insurance is to be placed with insurers with a current A.M. Best rating of not less than ANII. E. Verification of Coverage Consultant shall furnish the City with original certificates and a copy of the amendatory endorsements, including but not necessarily limited to the additional insured endorsement, evidencing the insurance requirements of the Contractor before commencement of the work. F. Subcontractors Consultant shall include all subcontractors as insureds under its policies or shall furnish separate certificates and endorsements for each subcontractor. All coverages for subcontractors shall be subject to all of the same insurance requirements as stated herein for the Consultant. TIERR-4 OP ID:TA CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DDrrm7 07/01/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICiFS OW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORI RESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Teresa Alvarado Stuckey Ins&Assoc Agencies PHONE 602-264-5533 AX No: 602-279-9336 $343 N.16th Street,Suite 110 E C. AIC MAJL Scott Schmidt o Phoenix, 85016 ADDRESS:teresa.alvarado@stuckeyinsurance.com ENSURERS AFFORDING COVERAGE NAIC# INSURER A:Travelers Indemnity Co of CT 25682 INSURED Tierra Right of Way INSURER B:Travelers Prop Cas of America 25674 Services LTD INSURER c:Travelers Indemnity Company 25658 1575 E. River Rd.#201 Tucson,AZ 85718-5831 INSURER D:XL Specialty Ins 37885 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LT POLICY NUMBER MMIDD/YYYY MMIDD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,0001 CLAIMS MADE OCCUR X 68048321_470 07/10/2016 07/10/2017 PREMISES Ea occurrence $ 300,00 X Contractual Liab NO DEDUCTIBLE MED EXP(Any one person) $ 6,00 PERSONAL&ADV INJURY $ 1,000,00 GEN L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY JEC TT LOC PRODUCTS-COMP/OP AGG $ 2,000,00 OTHER: $ JTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea eB,dent 00 B X ANY AUTO X BA63991_303 07/10/2016 0711012017 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident Deductible $ 1,00 X UMBRELLA LIAS X OCCUR EACH OCCURRENCE $ 5,000,00 C EXCESS LIAB CLAIMS-MADE CUP7180YO34 07/1012016 07/1012017 AGGREGATE $ 5,000,00 DED I X I RETENTION$ 10000 $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER A ANY PROPRIETORIPARTNERIEXECUTIVE YIN UB9213Y784 07/10/2016 07/10/2017 E.L.EACH ACCIDENT $ 1,000,00 OFFICERIMEMBER EXCLUDED? N� N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,00 If es,descr be under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 D Professional Liab DPR9806966 07110/2016 07110/2017 Per Claim 2,000,00 Aggregate 2,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Professional Liability - Claims Made - Retro Date 5/11/98 City of Kent is included as additional insured as per written contract as respects to general (CGD3810907)and auto liability (CAT4370808) on a primary and non contributory basis. CERTIFICATE HOLDER CANCELLATION CZKEN-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Kent THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVEREr tY ACCORDANCE WITH THE POLICY PROVISIONS. 400 West Gowe Kent,WA 98032 AUTHORIZED REPRESENTATIVE 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD II 6804832L470 4 � THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. i BLANKET ADDITIONAL INSURED I (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modlFles Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART i i A. The Following Is added to WHO IS AN INSURED INSURANCE (Section 111) for this Coverage (Section II): —Part. Any person or organizatlon that you agree In a B. The following Is added to Paragraph a. of 4. "contract or agreement requiring Insurance to In- Other Insurance In COMMERCIAL GENERAL clude as an additional Insured on this Coverage LIABILITY CONDITIONS (Section IV): Part, but only with respect to liability for bodily In- However, if you specifically agree In a "contract or jury", "property damage" or "personal injury" agreement requiring Insurance" that the Insurance caused,In whole or In part, by your acts or omis- provided to an additional Insured under this Cov- sfons or the acts or omisslons of those acting on erage Part must apply on a primary basis, or a your behalf: primary and non-contributory basis, this Insurance a, In the performance of your ongoing opera- Is primary to other Insurance that Is available to dons; such additional Insured which •covers such addl- tional Insured as a named Insured, and we will not b. In connection with premises owned by or share with the other Insurance,provided that; ( rented to you;or c. In connection with "your work" and Included (i)The"bodily Injury"or"property damage"for within the "products-completed operations which coverage is sought occurs; and ' _— hazard". (2)The"personal Injury"for which coverage Is sought arises out of an offense committed; m Such person or organization does not qualify as ; an additional Insured far "bodily Injury", "property after you have entered Into that "contract or damage" or "personal Injury" for which that per- agreement requiring Insurance". But this Insur- mson or organizatlon has assumed liability In a con- ante still Is excess over valid and collectible other I tract or agreement. insurance,whether primary, excess, contingent or i o.-•.-• on any other basis, that Is available to the Insured b The insurance provided to such additional Insured when the Insured Is an additional Insured under Is limited as follows: any other Insurance. c 1 v d. This Insurance does not apply on any basis to C. The following Is added to Paragraph 8. Transfer , any person or organization for which cover- age as an additional Ensured specifically Is Of Rights Of Recovery Against Others To Us o In COMMERCIAL GENERAL LIABILITY CON- added by another endorsement to this Cover- I age Part. DITIONS(Section IV): e. This Insurance does not apply to the render- We waive any rights of recovery we may have ; Ing of or failure to render any."professional against any person or organization because of r services", payments we make for "bodily Injury", "property f. The limits of Insurance afforded to the addl- damage" or "personal Injury" arising out of"your tional Insured shall be the limits which you wo&" performed by you, or on your behalf,under agreed In that"contract or agreement requlr- a "contract or agreement requiring Insurance" with that person or organization. We waive these Ing insurance" to provide for that additional 1 rights only where you.have agreed to do so as ; Insured, or the limits shown In the Declara- art of the "contract or agreement requiring Insur- ' tions for this Coverage Part, whichever are less. This endorsement does not Increase the ante"'-with" such person or organization entered limits of Insurance stated In the LIMITS OP Into by you before,and In effect when,the"bodily CG D3 84 09 07 m 2007 The Travekrs Companies,Inc. Page 1 of 2 ' Includes the copyrighted material of Insurance Services office,Inc.,with Its permission i i COMMERCIAL GENERAL LIABILITY r Injury"or"property damage" occurs,or the"per- erage Part, provided that the "bodily Injury" and sonal Injury"offense is committed. "property damage" occurs, and the "personal in- D.The following dePnitlon is added to DEFINITIONS jury"Is caused by an offense committed: (section V): a. After you have entered Into that contract or "Contract or agreement requiring Insurance" agreement; means that part of any contract or agreement un- b. While that part of the contract or agreement is der which you-are required to Include a person or In effect; and organization as an additional Insured on this Cov- c. Before the end of the policy period. i If i i i { { i I kI1 f { I i i 1 i f } I ©2007 The Travelers Companies,Inc. CG D3 8109 07 CA T4 37 08 08 BA63991-303 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM I i With respect to coverage provided by thls endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. The following is added to the Section li—Liability Coverage, Paragraph A.I.Who Is An Insured Provision: Any person or organlzatlon that you are required to include as additional insured on the Coverage Form In a written contract or agreement that is signed and executed by you before the"bodlly Injury" or"property damage"occurs and that Is In effect during the policy perlod Is an"insured"for Llabllity Coverage, but only for damages to which this insurance applies and only to the extent l that person or organization qualifies as an"insured"under the Who Is An Insured provision contained in Section II. I � i I i I I I t i I i i i I i i I CA T4 37 08 08 P vac .!Legal Notices 02008 The Travelers Companles,fnm i II 1 ( i I 1 II 1 I i s i 1 F i